Elucidation of the pathogenesis of lethal inherited arrhythmias using iPS cells and development of therapeutic approaches
Project/Area Number |
19K08538
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Review Section |
Basic Section 53020:Cardiology-related
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Research Institution | Kyoto University |
Principal Investigator |
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Project Period (FY) |
2019-04-01 – 2022-03-31
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Project Status |
Completed (Fiscal Year 2021)
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Budget Amount *help |
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2021: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2020: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
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Keywords | 不整脈 / iPS細胞 / 遺伝子 / 心筋細胞 / 疾患モデル / カルモジュリン / リアノジン受容体 / 心筋症 / 遺伝性不整脈 |
Outline of Research at the Start |
QT延長症候群等の遺伝性不整脈疾患は、心臓イオンチャネルの遺伝子変異により心室頻拍・細動を生じ、失神、突然死を来し得る。本研究では、このような家族性不整脈疾患を対象に、発症機序解明、新規治療薬開発を目的とし、臨床・基礎研究を行う。特に、基礎研究では、疾患特異的ヒト人工多能性幹(iPS)細胞研究を進行中であり、最新のゲノム編集技術を用いたiPS細胞株作製、分化心筋細胞のハイスループット解析系の確立を行い、詳細なヒトiPS細胞由来心筋モデルを用いた疾患表現型の再現、発症メカニズムの解明を行い、新規治療法開発を目指す。
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Outline of Final Research Achievements |
In this study, we aimed to elucidate the pathogenesis of inherited arrhythmias and to develop therapeutic methods, using disease-specific iPS cells (iPSCs). We identified a de novo heterozygous mutation, CALM2 p.E46K in a catecholaminergic polymorphic ventricular tachycardia (CPVT) patient who suffered exercise-induced syncope with ventricular tachycardias. CALM2-E46K iPSC-cardiomyocytes (CMs) exhibited significantly higher frequency of triggered activities and abnormal Ca2+ release events than controls. Larger Ca2+ leak via cardiac ryanodine receptors (RyR2) and smaller Ca2+ storage in sarcoplasmic reticulum observed in E46K-iPSC-CMs. Furthermore, we revealed a dominant facilitative effect of E46K-CaM on RyR2 using biochemical analyses. Thus, we, for the first time, established a CALM-related CPVT iPSC model which successfully recapitulated severe arrhythmogenic features and the iPSC model provides a powerful platform in developing precision medicine.
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Academic Significance and Societal Importance of the Research Achievements |
遺伝性致死性不整脈疾患は器質的心疾患のない若年者にも突然死を来し得り、社会的影響が大きく、根本的な治療法が確立されていない。本研究対象のカルモジュリン変異による遺伝性不整脈疾患は、稀ではあるが非常に重篤な不整脈を呈する。我々は、カルモジュリン変異によるカテコラミン誘発性多形性心室頻拍のiPS細胞モデルを初めて確立し、重度の催不整脈性を再現することに成功した。また、本モデルを用いた薬効評価の知見は治療法に関するアンメット・メディカル・ニーズが大きい本疾患において臨床的に大きな意義があると考えられ、今後の新規治療法開発の強力なプラットフォームとなり精密医療への貢献が期待される。
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Report
(4 results)
Research Products
(65 results)
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[Journal Article] JCS/JHRS 2020 Guideline on Pharmacotherapy of Cardiac Arrhythmias2022
Author(s)
Ono K, Iwasaki YK, Akao M, Makiyama T, Maruyama M, Miake J, Muraji S, Murata H, Morita N, Yokoshiki H, Yoshioka K, Yodogawa K, Inoue H, Okumura K, Kimura T, Tsutsui H, Shimizu W
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Journal Title
Circulation Journal
Volume: 86
Issue: 11
Pages: 1790-1924
DOI
ISSN
1346-9843, 1347-4820
Year and Date
2022-10-25
Related Report
Peer Reviewed / Open Access
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[Journal Article] Impact of cascade screening for catecholaminergic polymorphic ventricular tachycardia type 12022
Author(s)
Shimamoto K, Ohno S, Kato K, Takayama K, Sonoda K, Fukuyama M, Makiyama T, Okamura S, Asakura K, Imanishi N, Kato Y, Sakaguchi H, Kamakura T, Wada M, Yamagata K, Ishibashi K, Inoue Y, Miyamoto K, Nagase S, Kusano K, Horie M, Aiba T.
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Journal Title
Heart
Volume: -
Issue: 11
Pages: 2021-320220
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Telethonin variants found in Brugada syndrome, J-wave pattern ECG, and ARVC reduce peak Nav 1.5 currents in HEK-293 cells2020
Author(s)
Turker I, Makiyama T, Ueyama T, Shimizu A, Yamakawa M, Chen PS, Vatta M, Horie M, Ai T
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Journal Title
Pacing Clin Electrophysiol
Volume: 43
Issue: 8
Pages: 838-846
DOI
Related Report
Peer Reviewed / Int'l Joint Research
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[Journal Article] Mutant KCNJ3 and KCNJ5 potassium channels as novel molecular targets in bradyarrhythmias and atrial fibrillation.2019
Author(s)
Yamada N, Asano Y, Fujita M, Yamazaki S, Inanobe A, Matsuura N, Kobayashi H, Ohno S, Ebana Y, Tsukamoto O, Ishino S, Takuwa A, Kioka H, Yamashita T, Hashimoto N, Zankov DP, Shimizu A, Asakura M, Asanuma H, Kato H, Nishida Y, Miyashita Y, Shinomiya H, Naiki N, Hayashi K, Makiyama T, Ogita H, et al.
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Journal Title
Circulation
Volume: In press
Issue: 18
Pages: 2157-2169
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] ブルガダ症候群におけるアルコール代謝酵素の遺伝子変異 飲酒後の失神に関する知見(Genetic Variants of Alcohol-Metabolizing Enzymes in Brugada Syndrome: Insights into Syncope after Drinking Alcohol)2019
Author(s)
Qi Wu,Hideki Hayashi,Daiki Hira,Keiko Sonoda,Satoshi Ueshima,Seiko Ohno,Takeru Makiyama,Tomohiro Terada,Toshiya Katsura,Katsuyuki Miura,Minoru Horie
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Journal Title
Journal of Arrhythmia
Volume: 35
Pages: 752-759
Related Report
Peer Reviewed
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[Presentation] Modeling RYR2-related Long-QT Syndrome using iPS Cell Model Generated by CRISPR/Cas9-based Knock-in Genome Editing Technology2022
Author(s)
Jingshan Gao, Takeru Makiyama, Seiko Ohno, Yuta Yamamoto, Asami Kashiwa, Tomohiko Imamura, Takanori Aizawa, Hai Huang, Hirohiko Kohjitani, Minoru Horie, Takeshi Kimura
Organizer
第86回日本循環器学会学術集会(JCS2022)
Related Report
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[Presentation] Clinical aspects of Brugada syndrome in children: the impact of gender and age on the prognosis2022
Author(s)
Tomohiko Imamura, Takeru Makiyama, Junichi Ozawa,Hai Huang, Takanori Aizawa, Jingshan Gao, Asami Kashiwa, Hirohiko Kohjitani, Koichi Kato, Hiroshi Suzuki, Keiko Sonoda, Seiko Ohno, Naokata Sumitomo, Minoru Horie, Takeshi Kimura
Organizer
第86回日本循環器学会学術集会(JCS2022)
Related Report
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[Presentation] Inhibition of Late Sodium Current Shortens Action Potential Durations in CACNA1C-E1115K iPS Cell Model with Disrupted Cav1.2 Ion Selectivity2021
Author(s)
Asami Kashiwa, Takeru Makiyama, Hirohiko Kohjitani, Thomas Maurissen, Yimin Wuriyanghai, Yuta Yamamoto, Jingshan Gao, Hai Huang, Tomohiko Imamura, Takanori Aizawa, Taisuke Ishikawa, Seiko Ohno, Futoshi Toyoda, Seiich Sato, Kazuhiro Takahashi, Knut Woltjen, Minoru Horie, Naomasa Makita, Takeshi Kimura
Organizer
第67回日本不整脈心電学会学術集会(JHRS2021)
Related Report
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[Presentation] Modeling Novel Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT)-Associated Calmodulin Mutation CALM2-E46K using iPS cells2021
Author(s)
Jingshan Gao, Takeru Makiyama, Yuta Yamamoto, Asami Kashiwa, Takanori Aizawa, Tomohiko Imamura, Hai Huang, Hirohiko Kohjitani, Kouichi Kato, Seiko Ohno, Minoru Horie, Takeshi Kimura
Organizer
第5回日本循環器学会基礎研究フォーラム(BCVR2021)
Related Report
Invited
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[Presentation] Modeling Inherited Arrhythmias Associated with Ryanodine Receptor Dysfunction using iPS Cells2021
Author(s)
Takeru Makiyama, Jingshan Gao, Yuta Yamamoto, Asami Kashiwa, Takanori Aizawa, Tomohiko Imamura, Hai Huang, Hirohiko Kohjitani, Kouichi Kato, Taisuke Ishikawa, Hisaaki, Aoki, Futoshi Toyoda, Knut Wolten, Yoshinori Yoshida, Seiko Ohno, Naomasa Makita, Minoru Horie, Takeshi Kimura
Organizer
第85回日本循環器学会学術集会(JCS2021)
Related Report
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[Presentation] Development of an Oligonucleotide-Based Therapeutic Approach for Calmodulinopathy2021
Author(s)
Takeru Makiyama, Yuta Yamamoto, Yoshiki Kondo, Jingshan Gao, Asami Kashiwa, Takanori Aizawa, Tomohiko Imamura, Hai Huang, Hirohiko Kohjitani, Taisuke Ishikawa, Yoshinori Yoshida, Seiko Ohno, Naomasa Makita, Minoru Horie, Takeshi Kimura
Organizer
第85回日本循環器学会学術集会(JCS2021)
Related Report
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[Presentation] Preclinical Proof-of-Concept Study: Antisense-mediated Knockdown of CALM as a Therapeutic Strategy for Calmodulinopathy2020
Author(s)
Yuta Yamamoto, Takeru Makiyama, Yoshiki Kondo, Yusuke Iriyama, Ryutarou Ishikawa, Yimin Wuriyanghai, Hirohiko Kohjitani, Sayako Hirose, Jingshan Gao, Asami Kashiwa, Huang Hai, Takanori Aizawa, Tomohiko Imamura, Taisuke Ishikawa, Yoshinori Yoshida, Seiko Ohno, Minoru Horie, Naomasa Makita, Takeshi Kimura
Organizer
European Society of Cardiology (ESC) Congress 2020
Related Report
Int'l Joint Research
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[Presentation] Inhibition of Late Sodium Current Attenuates Prolonged Action Potential Durations in CACNA1C-E1115K iPS Cell Model with Disrupted Cav1.2 ion Selectivity2020
Author(s)
Asami Kashiwa, Takeru Makiyama, Hirohiko Kohjitani, Thomas Maurissen, Yimin Wuriyanghai, Yuta Yamamoto, Jingshan Gao, Hai Huang, Tomohiko Imamura, Takanori Aizawa, Taisuke Ishikawa, Seiko Ohno, Futoshi Toyoda, Seiich Sato, Kazuhiro Takahashi, Knut Woltjen, Minoru Horie, Naomasa Makita, Takeshi Kimura
Organizer
The Heart Rhythm Society's Annual Scientific Sessions 2020 (HRS2020)
Related Report
Int'l Joint Research
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[Presentation] Clinical and genetic aspects of pediatric Brugada syndrome2020
Author(s)
Tomohiko Imamura, Takeru Makiyama, Hai Huang, Takanori Aizawa, Jingshan Gao, Asami Kashiwa, Yimin Wuriyanghai, Yuta Yamamoto, Yasuhiko Kohjitani, Koichi Kato, Seiko Ohno, Naokata Sumitomo, Minoru Horie.
Organizer
European Society of Cardiology (ESC) Congress 2020
Related Report
Int'l Joint Research
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[Presentation] Human Induced Pluripotent Stem Cell Model of CACNA1C-E1115K which Impairs Ion Selectivity of the Cardiac L-type Calcium Channel2020
Author(s)
Asami Kashiwa, Takeru Makiyama, Thomas Maurissen, Hirohiko Kohjitani, Yimin Wuriyanghai, Yuta Yamamoto, Jungshan Gao, Huang Hai, Tomohiko Imamura, Takanori Aizawa, Taisuke Ishikawa, Seiko Ohno, Futoshi Toyoda, Seiich Sato, Kazuhiro Takahashi, Knut Woltjen, Minoru Horie, Naomasa Makita, Takeshi Kimura.
Organizer
第84回日本循環器学会学術集会(JCS2020)
Related Report
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[Presentation] CALM2-N98S Mutation Associated with Long QT Syndrome Impaired the Response of KCNQ1 Channel to Beta-adrenergic Stimulation in Human iPSC-derived Cardiomyocytes.2020
Author(s)
Yuta Yamamoto, Takeru Makiyama, Yimin Wuriyanghai, Hirohiko Kohjitani, Sayako Hirose, Jingshan Gao, Asami Kashiwa, Huang Hai, Takanori Aizawa, Tomohiko Imamura, Taisuke Ishikawa, Hideki Motomura, Yoshinori Yoshida, Seiko Ohno, Minoru Horie, Naomasa Makita, Takeshi Kimura.
Organizer
第84回日本循環器学会学術集会(JCS2020)
Related Report
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[Presentation] Preclinical Proof-of-concept of Antisense-mediated Transcript Knockdown Therapy in Calmodulinopathy2020
Author(s)
Yuta Yamamoto, Takeru Makiyama, Yoshiki Kondo, Yusuke Iriyama, Ryutarou Ishikawa, Jingshan Gao, Hirohiko Kohjitani, Asami Kashiwa, Takanori Aizawa, Tomohiko Imamura, Hai Huang, Taisuke Ishikawa, Yoshinori Yoshida, Seiko Ohno, Minoru Horie, Naomasa Makita, Takeshi Kimura.
Organizer
第14回日本循環器学会基礎研究フォーラム(BCVR2020)
Related Report
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[Presentation] 患者由来iPS細胞モデルを用いたCav 1.2イオン選択性を障害するCACNA1C-E1115K変異がQT延長症候群、Brugada症候群を発症するメカニズムの解析2020
Author(s)
Asami Kashiwa, Takeru Makiyama, Hirohiko Kohjitani, Thomas Maurissen, Yimin Wuriyanghai, Yuta Yamamoto, Jiungshan Gao, Huang Hai, Tomohiko Imamura, Takanori Aizawa, Taisuke Ishikawa, Seiko Ohno, Futoshi Toyoda, Seiich Sato, Kazuhiro Takahashi, Knut Woltjen, Minoru Horie, Naomasa Makita, Takeshi Kimura.
Organizer
第97回日本生理学会大会
Related Report
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[Presentation] Modeling Overlap Syndrome Of Long QT And Brugada Syndrome Associated With CACNA1C-E1115K Which Alters Ion Selectivity With Induced Pluripotent Stem Cells2019
Author(s)
Asami Kashiwa, Takeru Makiyama, Hirohiko Kohjitani, Yimin Wuriyanghai, Yuta Yamamoto, Gao Jungshan, Hai Huang, Taisuke Ishikawa, Seiko Ohno, Futoshi Toyoda, , Seiichi Sato, Minoru Horie , Naomasa Makita, Takeshi Kimura.
Organizer
40th Heart Rhythm Scientific Sessions
Related Report
Int'l Joint Research
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[Presentation] Automatic Computational Action Potential Analyzing System Enables Accurate Drug Response Interpretation and Prediction in Human Induced Pluripotent Stem Cell-derived Cardiomyocytes2019
Author(s)
Hirohiko Kohjitani, Shigeya Kouda, Yukiko Himeno, Takeru Makiyama, Asami Kashiwa, Yimin Wuriyanghai, Yuta Yamamoto, Minoru Horie, Takeshi Kimura, Akinori Noma, Akira Amano.
Organizer
40th Heart Rhythm Scientific Sessions
Related Report
Int'l Joint Research
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[Presentation] Structural Insights into Catecholaminergic Polymorphic Ventricular Tachycardia-associated RyR2 Mutant Channels using a Three-dimensional In Silico Model.2019
Author(s)
J. Gao, T. Makiyama, S. Ohno, Y. Yamamoto, Y. Wuriyanghai, H. Kohjitani, A. Kashiwa, H. Huang, K. Katou, M. Horie, T. Kimura.
Organizer
European Society of Cardiology Congress 2019
Related Report
Int'l Joint Research
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[Presentation] KCNQ1 Channel Dysfunction in human induced pluripotent stem cell-derived cardiomyocytes carrying a CALM2-N98S mutation associated with long QT syndrome2019
Author(s)
Yuta Yamamoto, Takeru Makiyama, Yimin Wuriyanghai, Hirohiko Kohjitani, Sayako Hirose, Jingshan Gao, Asami Kashiwa, Huang Hai, Takanori Aizawa, Tomohiko Imamura, Taisuke Ishikawa, Seiko Ohno, Kazuhisa Chonabayashi, Hideki Motomura, Yoshinori Yoshida, Minoru Horie, Naomasa Makita, Takeshi Kimura
Organizer
American Heart Association Scientific Sessions 2019
Related Report
Int'l Joint Research
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[Presentation] Morphological and electrophysiological characterization of homozygous lamin A/C knockout human induced-pluripotent stem cell-derived cardiomyocytes. American Heart Association Scientific Sessions 20192019
Author(s)
Yimin Wuriyanghai, Takeru Makiyama, Yuta Yamamoto, Hirohiko Kohjitani, Sayako Hirose, Jingshan Gao, Asami Kashiwa, Hai Huang, Takanori Aizawa, Tomohiko Imamura, Seiko Ohno, Minoru Horie, Takeshi Kimura
Organizer
American Heart Association Scientific Sessions 2019
Related Report
Int'l Joint Research
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[Presentation] Response of KCNQ1 to Adrenergic Stimulation was Impaired in Human Induced Pluripotent Stem Cell-derived Cardiomyocytes Carrying a CALM2-N98S Mutation Associated with Long QT Syndrome.2019
Author(s)
Yuta Yamamoto, Takeru Makiyama, Yimin Wuriyanghai, Hirohiko Kohjitani, Sayako Hirose, Jingshan Gao, Asami Kashiwa, Huang Hai, Takanori Aizawa, Tomohiko Imamura, Taisuke Ishikawa, Seiko Ohno, Kazuhisa Chonabayashi, Hideki Motomura, Yoshinori Yoshida, Minoru Horie, Naomasa Makita, Takeshi Kimura
Organizer
12th Asia Pacific Heart Rhythm Society Scientific Session (APHRS2019)
Related Report
Int'l Joint Research
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[Presentation] Algorithmic Auto-Recreation System of hiPSC-CMs Simulation and Prediction of Drug Testing.2019
Author(s)
Hirohiko Kohjitani, Shigeya Kouda, Yukiko Himeno, Takeru Makiyama, Asami Kashiwa, Yimin Wuriyanghai, Yuta Yamamoto, Minoru Horie, Takeshi Kimura, Akinori Noma, Akira Amano
Organizer
12th Asia Pacific Heart Rhythm Society Scientific Session (APHRS2019)
Related Report
Int'l Joint Research
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[Presentation] Patients characteristics of idiopathic ventricular fibrillation carrying SCN5A mutations without Brugada or long QT syndrome.2019
Author(s)
Takanori Aizawa, Takeru Makiyama, Hai Huang, Tomohiko Imamura, JingShan Gao, Yimin Wuriyanghai, Takeru Makiyama, Yuta Yamamoto, Hirohiko Kohjitani, Sayako Hirose, Jingshan Gao, Asami Kashiwa, Hai Huang, Wuriyanghai Yimin, Hirohiko Kohjitani, Yuta Yamamoto, Seiko Ohno, Minoru Horie
Organizer
12th Asia Pacific Heart Rhythm Society Scientific Session (APHRS2019)
Related Report
Int'l Joint Research
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[Presentation] Algorithmic Auto-Recreation System of hiPSC-CMs Simulation and Prediction of Drug Testing2019
Author(s)
Hirohiko Kohjitani, Shigeya Kouda, Yukiko Himeno, Takeru Makiyama, Hai Huang, Jingshan Gao, Asami Kashiwa, Yimin Wuriyanghai, Daisuke Yoshinaga, Takeshi Kimura, Akira Amano.
Organizer
第83回日本循環器学会学術集会
Related Report
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[Presentation] Modeling Overlapping Phenotypes of Long-QT and Brugada Syndrome with CACNA1C-E1115K that Alters Ion Selectivity of the Cardiac L-Type Calcium Channel Using Induced Pluripotent Stem Cells.2019
Author(s)
Asami Kashiwa, Takeru Makiyama, Hirohiko Kohjitani, Yimin Wuriyanghai, Yuta Yamamoto, Jingshan Gao, Hai Huang, Taisuke Ishikawa, Seiko Ohno, Futoshi Toyoda, Seiichi Sato, Minoru Horie, Naomasa Makita, Takeshi Kimura
Organizer
第66回日本不整脈心電学会学術大会
Related Report
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[Presentation] Algorithmic Auto-Recreation System of hiPSC-CMs Simulation and Prediction of Drug Testing.2019
Author(s)
Hirohiko Kohjitani, Shigeya Kouda, Yukiko Himeno, Takeru Makiyama, Hai Huang, Jingshan Gao, Asami Kashiwa, Yimin Wuriyanghai, Daisuke Yoshinaga, Takeshi Kimura, Akira Amano.
Organizer
第66回日本不整脈心電学会学術大会
Related Report
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[Presentation] Single Cell Electrophysiological Analysis of iPS Cell-derived Cardiomyocytes Generated from Long-QT Syndrome Patients Carrying a CALM2 Mutation Using a Membrane Potential Imaging System.2019
Author(s)
Yuta Yamamoto, Takeru Makiyama(代発表), Yimin Wuriyanghai, Hirohiko Kohjitani, Sayako Hirose, Jingshan Gao, Asami Kashiwa, Huang Hai, Taisuke Ishikawa, Seiko Ohno, Kazuhisa Chonabayashi, Kenji Suda, Yoshinori Yoshida, Minoru Horie, Naomasa Makita, Takeshi Kimura,
Organizer
第66回日本不整脈心電学会学術大会
Related Report
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[Presentation] Structural Insights into Catecholaminergic Polymorphic Ventricular Tachycardia-associated RyR2 Mutant Channels using a Three-dimensional in Silico Model.2019
Author(s)
Jingshan Gao, Takeru Makiyama, Seiko Ohno, Yuta Yamamoto, Yimin Wuriyanghai, Hirohiko Kohjitani, Asami Kashiwa, Hai Huang, Kouichi Katou, Minoru Horie, Takeshi Kimura.
Organizer
第66回日本不整脈心電学会学術大会
Related Report
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[Presentation] Phenotype-based High-throughput Classification of Long-QT Syndrome Subtypes Using Human Induced Pluripotent Stem Cells.2019
Author(s)
Daisuke Yoshinaga, Shiro Baba, Takeru Makiyama, Hirofumi Shibata, Takuya Hirata, Kentaro Akagi, Koichi Matsuda, Hirohiko Kohjitani, Yimin Wuriyanghai, Katsutsugu Umeda, Yuta Yamamoto, Bruce R. Conklin, Minoru Horie, Junko Takita, Toshio Heike.
Organizer
第66回日本不整脈心電学会学術大会
Related Report
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[Presentation] Complex aberrant splicing in the induce pluripotent stem cell-derived cardiomyocytes from a patient with long-QT syndrome carrying KCNQ1-A344Aspl mutation.2019
Author(s)
Wuriyanghai Y, Makiyama T, Sasaki K, Kamakura T, Yamamoto Y, Hayano M, Harita T, Nishiuchi S, Chen J, Kohjitani H, Hirose S, Yokoi F, Gao J, Chonabayashi K, Watanabe K, Ohno S, Yoshida Y, Kimura T, Horie M
Organizer
第66回日本不整脈心電学会学術大会
Related Report
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